ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Basulmn / F / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O headaches and watering of the eyes 2 years back.
C/O deviation of the left eye medially with loss of vision on the left side and diminished vision on the right side since 2 years.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left eye ball is deviated medially, with slight medial rotation of the right eyeball.

The antero-posterior dimension of both the eyeballs appears larger as compared to normal and this can be seen with patients of myopia.

The optic nerves show normal signal intensity on the STIR images on either side.

There is no focal area of altered signal intensity in the brain parenchyma. The cavernous sinuses, sella and suprasellar cistern are unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of left maxillary sinusitis.
..2/.







IMPRESSION :

The MRI features are suggestive of :

1. Deviation of the left eye ball medially with slight medial rotation of the right eyeball.

2. Larger antero-posterior dimension of both the eyeballs and this can be seen with patients of myopia.

3. No intracranial abnormality is detected on this study.